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Adverse action means HHSC has taken enforcement action affecting an operation’s permit or ability to operate; see the official HHSC record for details.
State records list 11 cited deficiencies dated February 18, 2025 to July 7, 2026 (5 High, 5 Medium High, 1 Medium risk). Correction status: 2 corrected at inspection, 9 with a correction date recorded, 0 with no correction date recorded.
Counts, dates, risk levels and correction status come directly from the state data. The plain-English descriptions were written automatically from the inspectors' narratives and checked against them by a second automated reviewer; they cover citations dated October 11, 2023 to October 11, 2026. They may contain errors; the official record is authoritative.
View the official state record · Report an issue with this page
This summary is generated automatically from public HHSC records. It restates the official record and may lag behind it. The official state record is the authoritative source: official HHSC record.
Texas Health and Human Services records list 11 cited deficiencies for Coolwood Early Head Start and Head Start in the 3 years before October 10, 2026 (5 High, 5 Medium High, 1 Medium).
Records list 11 inspections in this window. Most recent inspection: 2026-07-23.
| Risk weight | Citations |
|---|---|
| High | 5 |
| Medium High | 5 |
| Medium | 1 |
| Medium Low | 0 |
| Low | 0 |
| Unknown | 0 |
HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.
2026-07-07 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
A child walked out of a classroom unsupervised.
Correction date recorded: 2026-07-21
2026-06-25 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Five out of ten employee files reviewed did not have the required 24 hours of annual training.
Correction date recorded: 2026-06-25
2026-06-25 · 746.1301(a)(3)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Two employees did not have a current first aid training certificate available for review during the inspection.
Correction date recorded: 2026-07-09
2026-07-07 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2026-07-21. Correction verified: 2026-07-23.
A child walked out of a classroom unsupervised.
2026-06-25 · 746.1301(a)(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2026-07-09. Correction verified: 2026-07-06.
Two employees did not have a current CPR training certificate available for review during the inspection.
2026-06-25 · 746.1301(a)(3)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Corrected at inspection: No. Correction date: 2026-07-09. Correction verified: 2026-07-06.
Two employees did not have a current first aid training certificate available for review during the inspection.
2026-06-25 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: No. Correction date: 2026-06-25. Correction verified: Not recorded.
Five out of ten employee files reviewed did not have the required 24 hours of annual training.
2025-12-19 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2026-02-04. Correction verified: 2026-01-28.
The operation does not have a current Fire Inspection Report.
2025-09-05 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2025-09-08. Correction verified: 2025-09-19.
A child was left in a classroom unsupervised.
2025-09-05 · 746.1205(a)(1) · High
Responsibilities of Caregivers - Know children responsible for
Corrected at inspection: No. Correction date: 2025-09-08. Correction verified: 2025-09-19.
The caregivers were unaware that one child in their care was missing.
2025-05-22 · 746.707 · Medium
Incident/Illness Report Form Shared with Parent
Corrected at inspection: No. Correction date: 2025-05-23. Correction verified: 2025-05-27.
During the investigation it was found that the operation had not completed an incident report form or shared it with parent within 48 hours of the time of the incident.
2025-05-22 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: Yes. Correction date: 2025-05-23. Correction verified: Not recorded.
During the investigation it was found that a child was left unattended in a classroom after the class had transitioned to the outdoors playground. This was corrected at inspection when supervision was observed while present at the inspection with no concerns.
2025-05-14 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2025-05-28. Correction verified: 2025-05-23.
During the inspection it was found that the operation had a child with a nut allergy, without an allergy emergency plan.
2025-02-18 · 746.3407(13) · Medium High
Using, Storing and Disposing of Hazardous Materials
Corrected at inspection: Yes. Correction date: 2025-02-18. Correction verified: Not recorded.
During inspection, bleach and Lysol were found in an unlocked cupboard under the sink in on of the classrooms. This was corrected at inspection when a care giver moved the materials into a locked closet.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1495685
Records reflect only deficiencies published by the state after due process. This page does not rate or rank providers. Check the official record for the latest information.
Provider data fetched: October 10, 2026.